Total Aquatics Swim School Online Registration

Registration

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Bienvenidos a la escuela de natación Total Aquatics. Favor completar el siguiente formulario.

* denotes required fields

Referral Information

How did you hear about us?

Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Contact #1

Contact #1 First Name*

Last Name *

How Can We Contact You?

Home Phone

Work #

Cell #

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Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Recuerde traer para su primera clase, traje de bano, toalla y bloqueador solar. Todos los estudiantes entre 1 - 3 tienen que entrar al agua con un encargado.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Recuerde traer para su primera clase, traje de bano, toalla y bloqueador solar. Todos los estudiantes entre 1 - 3 tienen que entrar al agua con un encargado.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Recuerde traer para su primera clase, traje de bano, toalla y bloqueador solar. Todos los estudiantes entre 1 - 3 tienen que entrar al agua con un encargado.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Recuerde traer para su primera clase, traje de bano, toalla y bloqueador solar. Todos los estudiantes entre 1 - 3 tienen que entrar al agua con un encargado.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Recuerde traer para su primera clase, traje de bano, toalla y bloqueador solar. Todos los estudiantes entre 1 - 3 tienen que entrar al agua con un encargado.

Enroll in Classes

Select Class

Add Another Student

Required Policies

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Questions or Concerns

Comments

Registration

Referral Information

Family Information

Where do you live?

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Student #1

Enroll in Classes

Student #2 (Show-Hide Details)

Enroll in Classes

Student #3 (Show-Hide Details)

Enroll in Classes

Student #4 (Show-Hide Details)

Enroll in Classes

Student #5 (Show-Hide Details)

Enroll in Classes

Required Policies

(Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Registration

Referral Information

Family Information

Where do you live?

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Student #1

Enroll in Classes

Student #2 (Show-Hide Details)

Enroll in Classes

Student #3 (Show-Hide Details)

Enroll in Classes

Student #4 (Show-Hide Details)

Enroll in Classes

Student #5 (Show-Hide Details)

Enroll in Classes

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Required Policies

(Show-Hide Details)